Active NPI
Molly Jane Green, MA
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1467733311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018029026
- Practice address
- 4121 Union Rd Ste 225
Saint Louis, MO 63129-1093 - Phone
- (314) 730-6787
- Fax
- (314) 730-6585
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018029026 | MO | Primary |
| Professional Counselor | 101YP2500X | 180007619 | IL |
Addresses
Primary practice location
4121 Union Rd Ste 225
Saint Louis, MO 63129-1093
Mailing address
4121 Union Rd Ste 225
Saint Louis, MO 63129-1093
Phone (314) 730-6787
Other practice location 1
2615 Edwards St
Alton, IL 62002-3915
Phone (618) 462-2331
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgreen@insightfullifetherapy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180007619 | IL | MD | Professional Counselor |
| 2018029026 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1467733311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 UNION RD STE 225",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291093",
"telephone_number": "314-730-6787",
"fax_number": "314-730-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 UNION RD STE 225",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291093",
"telephone_number": "314-730-6787",
"fax_number": "314-730-6585"
}
],
"practiceLocations": [
{
"address_1": "2615 Edwards St",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620023915",
"country_code": "US",
"telephone_number": "618-462-2331",
"fax_number": "618-462-2504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "MOLLY",
"middle_name": "JANE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018029026",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180007619",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgreen@insightfullifetherapy.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4121 Union Rd Ste 225",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631291093",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.